medigraphic.com
SPANISH

Gaceta Médica Espirituana

ISSN 1608-8921 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 3

<< Back Next >>

Gaceta Médica Espirituana 2014; 16 (3)

Clinical characteristics of patients with murmurs cared in a pediatric cardiology consultation

Medina MAR, Llamosa RO, Pérez PMA, Alonso CM, Rodríguez BBJ, Ramos RL
Full text How to cite this article

Language: Spanish
References: 15
Page:
PDF size: 79.99 Kb.


Key words:

heart murmurs, diagnosis, electrocardiogram, ultrasonography, echocardiography Doppler.

ABSTRACT

Background: auscultation of a heart murmur during a physical examination of a child is common, which is the main interclinical reason in pediatric cardiology. Objective: To identify clinical characteristics of patients with murmurs cared in a pediatric cardiology consultation. Methodology: 118 children were studied from September 2011 to December 2012. The variables used were age, gender, family medical history, associated symptoms, location of the murmur, intensity, complementary exams (telecardiogram, electrocardiogram and echocardiogram doppler). Results: The group of 0 days to five years and male sex predominated. Chest pain, palpitations and dyspnea were the most common symptoms associated with the murmur. In 94 children the murmur was located in the mesocardiac region and 106 were grade II. Conclusions: Auscultation of a heart murmur during a physical examination of a child is frequent, that is why it is a periodically interclinical reason in pediatric cardiology consultation.


REFERENCES

  1. Suárez Castañón C, Pardo De La Vega R, Melgar Pérez J, Menéndez Arias C, Fernández Fernández EM, Solís Sánchez G. Soplo cardíaco como motivo de ingreso en una Unidad Neonatal: Experiencia de 5 años. Bol Pediatr [Internet]. 2010 Soplo cardíaco como motivo de ingreso en una Unidad Neonatal: Experiencia de 5 años. [citado: Ene 2013]; 50:11-6. Disponible en: https://www.sccalp.org/documents/0000/1519/BolPediatr2010_50_011-016.pdf

  2. Pediatric Cardiology for Practitioners. 5ta ed. Philadelphia: Mosby Inc. Elselvier Science;2008.

  3. Allen, Hugh D.; Driscoll, David J.; Shaddy, Robert E.; Feltes, Timothy F. Moss and Adams' Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adults, 7th ed. Philadelphia: Lippincott Williansv--Wilkins on the Internt;2008. Available from: http://www.amazon.com/2-Volume-Disease-Infants-Children-Adolescents/dp/1451118937#reader_1451118937

  4. Teixeira OH. Distinguishing innocent from pathologic murmurs in neonates. J Pediatr [internet]. 2009 Aug [citado: Ene 2013];155:300-1. Available from: http://www.jpeds.com/article/S0022-3476%2809%2900328-X/fulltext

  5. Rojas Bettancourt I, Pérez Mateo MT. Comportamiento de los defectos congénitos en el territorio Sur este de la provincia de La Habana, 1993-2008. Rev Cubana Genet Comunit [Internet]. 2010 [citado: Ene 2013]; 4(1):32-6. Disponible en: http://bvs.sld.cu/revistas/rcgc/v4n1/rgc060110.pdf

  6. García Guevara C, Savio Benavides A, García Morejón C, Arencibia Faife J, Hernández Martínez Y, Hernández Almaguer B. Anomalías de la cruz del corazón. Su importancia en el diagnóstico ecocardiográfico prenatal de las cardiopatías. Rev Fed Arg Cardiol [Internet]. 2010 [citado: Ene 2013];39(4):264-7. Disponible en: http://www.fac.org.ar/1/revista/10v39n4/art_revis/revis01/garcia.pdf

  7. Constancio Medrano López, José Manuel Guía Torrens, Fernando Rueda Núñez, Antonio Moruno Tirado. Actualización en cardiología pediátrica y cardiopatías congénitas. Rev Esp Cardiol [Internet]. 2009 [citado: Ene 2013]; 62(Supl1):39-52. http://pdf.revespcardiol.org/watermark/ctl_servlet?_f=10&pident_articulo=13131717&pident_usuario=0&pcontactid=&pident_revista=25&ty=114&accion=L&origen=cardio&web=www.revespcardiol.org&lan=es&fichero=25v62nSupl.1a13131717pdf001.pdf

  8. Shieh JT, Bittles AH, Hudgins L. Consanguinity and the risk of congenital heart disease. Am J Med Genet A [Internet]. 2012 May [citado: Ene 2013]; 158A(5):1236-41. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3331952/

  9. Duong HT, Hoyt AT, Carmichael SL, Gilboa SM, Canfield MA, Case A, et al. Is maternal parity an independent risk factor for birth defects. Birth Defects Res A Clin Mol Teratol [Internet]. 2012 Apr [citado: Ene 2013];94(4):230-6;94(4):230-6. Available from: http://onlinelibrary.wiley.com/doi/10.1002/bdra.22889/abstract;jsessionid=084DE582C4BAA8268487193EB1812B01.f01t02

  10. Ratanachu-Ek S, Pongdara A. Nutritional status of pediatric patients with congenital heart disease: pre- and post-cardiac surgery. J Med Assoc Thai [Internet]. 2011 Aug [citado: Ene 2013]; 94 Suppl 3:S133-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22043766

  11. Okoromah CA, Ekure EN, Lesi FE, Okunowo WO, Tijani BO, Okeiyi JC. Prevalence, profile and predictors of malnutrition in children with congenital heart defects: a case-control observational study. Arch Dis Child [Internt]. 2011 Apr [citado: Ene 2013]; 96(4):354-60. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056291/

  12. Shah GS, Singh MK, Pandey TR, Kalakheti BK, Bhandari GP. Incidence of congenital heart disease in tertiary care hospital. Kathmandu Univ Med J [Internet]. 2008 [citado: Ene 2013] ; 6 (1): 33-6. Available from: http://www.kumj.com.np/issue/21/33-36.pdf

  13. Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr [Internet]. 2008 Apr [citado: Ene 2013];45(4):309-11. Available from: http://www.indianpediatrics.net/apr2008/309.pdf

  14. Nazer HJ, Aravena CT, Cifuentes OL. Malformaciones congénitas en le. Un problema emergente (período 1995-1999). Rev méd Chile [Internet]. 2001 Ago [citado: 2011 Sep. 30]; 129(8). Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000800008

  15. González Salvat RM, González labrador I. Eugenesia y diagnóstico prenatal. Rev Cubana Obstet Ginecol [Internet]. 2002 [Consultado: 4 de abril de 2011]; 28(2):80-3. Disponible en: http://bvs.sld.cu/revistas/gin/vol28_2_02/gin03202.pdf




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Gaceta Médica Espirituana. 2014;16